Document Type

Presentation

Publication Date

2-2-2024

Publication Title

PSVMC 6W Orthopedics Unit

Keywords

oregon; portland; psvmc

Abstract

"ABSTRACT TITLE: Improving Time to Defibrillation

Background: Providence St. Vincent Medical Center (PSVMC) Medical Surgical units are not meeting the American Heart Association requirement of less than 3 minutes to defibrillation. Time to defibrillation in codes with shockable rhythms averages 4.2 minutes. In Mock Codes, only one met the time less than 3 minutes; four Mock Codes had times over 5 minutes. Resuscitation Quality Improvement CPR (RQI) training is required quarterly. Defibrillator practice with overall Code Blue competency is annual.

Purpose: Combine the hands-on practice of the defibrillator with the hands-on training for RQI.

Methods: The Medical Surgical unit 6 West Orthopedic (6W) caregivers were offered three voluntary hands-on practice sessions on the defibrillator. Sessions were done for one week in September, October, and November during morning safety huddle. PSVMC Code Committee data of prior Mock Code and Code Blue debrief was used for baseline times. After defibrillator hands-on sessions, time to defibrillate was measured during abbreviated Mock Codes on 6W December 2023-January 2024. Quantitative analysis was done to note the difference in time to defibrillate based on the addition of defibrillator hands-on practice.

Results: 27 of 33 6W staff attended the practice sessions. The first mock code blue was November 30, 2023, where 3 staff involved had received the practice, and time to defibrillate was 2.4 minutes. The second mock code blue was December 26, 2023, where 2 staff involved had received the practice, and time to defibrillate was 3 minutes. Lastly, the third mock code blue was on January 4, 2024, where 3 staff had received the practice, and time to defibrillate was 1.25 minutes.

Conclusion: Overall time to defibrillation decreases to an average of 2.2 minutes. All mock code times would meet the AHA guidelines. Increased practice could be beneficial in addition to the quarterly RQI training. "

Clinical Institute

Cardiovascular (Heart)

Department

Cardiology

Department

Hospital Medicine

Department

Nursing

Comments

References

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